医养结合照护模式在长期住院老年患者中的应用效果

目的：探讨医养结合模式在长期住院老年患者中的应用效果。方法对60例住院老年患者实施医养结合照护模式，按照年龄、性别的不同，分别在患者照护前、照护后1个月、3个月、6个月测量其总体幸福感量表( GWB)、孤独感自评量表( UCLA)的得分，采用重复测量方差分析法，比较照护前后的差异性。结果实施医养结合照护措施1个月、3个月及6个月后，老年患者的总体幸福感得分均高于照护前(P<0.05)，照护6个月后75岁以下年龄组主观幸福感提升效果优于75岁及以上年龄组，分数差异有统计学意义( P<0.05)；孤独感自评量表得分均明显低于照护前，差异有统计学意义( P<0.05)。结论开展医养结合优质照护，可满足老年人群的多元需求，提升在院老人的幸福指数，减轻其孤独感，全面改善老人的生活质量。

Application and effects of treatment combined with care mode for the elderly pa-tients with long-term hospitalization

Objective To explore the application and effects of treatment combined with care mode for the elderly patients with long-term hospitalization. Methods A total of 60 hospitalized elderly patients were given the treat-ment-care combination mode. The GWB, UCLA scores before treatment, 1 month, 3 months and 6 months after treat-ment according to their different age and gender were collected and compared by repeated measuring analysis of variance and the differences before and after the nursing was compared. Results After the implementation of treatment-care mode 1 month, 3 months and 6 months later, the scores of GWB and UCLA were both higher than that before nursing ( P<0. 05 ) , and the improvement of GWB scores of the age group under 75 years was better than that of the age group over 75 years old and the difference was statistically significant after 6 months ' nursing ( P<0. 05 ) . The UCLA score was both lower than that before nursing, and the difference was statistically significant ( P<0. 05 ) . Conclusions The treatment-care combination mode can satisfy the elderly patients'multiple needs, improve their happiness index, reduce their loneliness, and improve their lilving quality.